Susan S Park is a New York, New York based Dentist who is specialized in Dentist. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Susan S Park is 062118 for General Practice Dentistry in New York. Her current practice location is 622 W 168th St, New York. Patients can reach her at 213-800-1553.
Susan S Park is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Susan S Park speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Susan S Park
Specialization:
Dentist
Gender:
Female
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
622 W 168th St, New York, New York, 10032-3720
Phone:
213-800-1553
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1497309413
NPI Enumeration Date:
29 Jul, 2019
NPI Last Update On:
11 Oct, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Susan S Park are as mentioned below.
License Number
Specialization
State
Status
062118
General Practice Dentistry
New York
Primary
Student in an Organized Health Care Education/Training Program
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Susan S Park such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
062118
Other
New York
NYSED
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
333 E 81st St Apt 2, New York, New York
Zip:
10028-4094
Phone Number:
213-800-1553
Patients can reach Susan S Park at 622 W 168th St, New York, New York or can call to book an appointment on 213-800-1553. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.